ANGEL OF FAITH NON PROFIT ORGANIZATION (NPI# 1568713287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568713287 |
| Entity Type | Organization |
| Organization Name | ANGEL OF FAITH NON PROFIT ORGANIZATION |
| Practice Address |
12968 Frederick St A Moreno Valley CA 92553-5229 |
| Mailing Address |
4996 La Sierra Ave Riverside CA 92505-2612 |
| Practice Telephone | 9515253752 |
| Practice Fax Number | 9513580762 |
| Mailing Telephone | 9515253752 |
| Mailing Fax Number | 9513580762 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | LUIS ALBERTO CRUZ (PRESIDENT) |
| Authorized Official Telephone | 9515002774 |
| Authorized Official Credential | M.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750629564 | Angel of Faith Non Profit Organization | Clinic/Center | 21535 Palomar St, Suite B, Wildomar, CA 92595-7767 | 2013-01-29 |
| 1003110982 | Angel of Faith Non Profit Organization | Clinic/Center | 4996 La Sierra Ave, Riverside, CA 92505-2612 | 2011-01-06 |
| Street Address |
12968 FREDERICK ST A |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184817504 | Andrea Garnica | Social Worker | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2007-08-20 |
| 1669004347 | Pascale A Claus | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2020-02-10 |
| 1184154767 | Jonathan Patam Won | Psychologist | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2017-06-15 |
| 1881141224 | Dannielle Victoria Christiansen | Counselor | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2016-09-01 |
| 1891156295 | Roberto Dominicci Rodriguez | Student in an Organized Health Care Education/Training Program | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2016-03-11 |
| 1003272279 | Christopher K. Atlas | Marriage & Family Therapist | 12968 Frederick St, Ste. A, Moreno Valley, CA 92553-5229 | 2016-01-04 |
| 1023481132 | Albert Albanez | Social Worker | 12968 Frederick St, Suitr D, Moreno Valley, CA 92553-5229 | 2015-11-11 |
| 1013388800 | Gary Lee Woods | Counselor | 12968 Frederick St, Moreno Valley, CA 92553-5229 | 2015-10-19 |
| 1164893038 | Raymond Hernandez | Marriage & Family Therapist | 12968 Frederick St, Ste A, Moreno Valley, CA 92553-5229 | 2015-10-16 |
| 1659754794 | Jacqueline Lara Luna | Marriage & Family Therapist | 12968 Frederick St, Suite D, Moreno Valley, CA 92553-5229 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710450036 | Moreno Valley Cmhc | Clinic/Center | 23180 Hemlock Ave, Moreno Valley, CA 92557-8001 | 2019-01-09 |
| 1093217614 | Special Service for Groups, Inc. | Clinic/Center | 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 | 2018-02-28 |
| 1992179360 | A New Creation Child, Individual & Family Counseling Treatment Center | Clinic/Center | 23800 Sunnymead Blvd Ste D, Moreno Valley, CA 92553-7731 | 2015-11-22 |
| 1265639660 | Kaiser Permanente | Clinic/Center | 12815 Heacock St, Moreno Valley, CA 92553-3116 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on ANGEL OF FAITH NON PROFIT ORGANIZATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.